LIBBY KELLAR (NPI# 1174167860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174167860 |
| Entity Type | Individual |
| Full Name | LIBBY KELLAR |
| Credential | OTR/L |
| Practice Address |
1270 Mcconnell Dr Ste B Decatur GA 30033-3507 |
| Mailing Address |
600 Henry Dr Woodstock GA 30188-4158 |
| Practice Telephone | 7708926879 |
| Mailing Telephone | 4049358172 |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2019-11-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT007550 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4900 Ivey Rd Nw Ste 1720, Acworth, GA 301014101 | 7709175737 |
| Street Address |
1270 MCCONNELL DR STE B |
| City | DECATUR |
| State | GA |
| Zip Code | 30033-3507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639441876 | Walter Ray Davis Jr. | Dentist | 1270 Mcconnell Dr Ste B, Decatur, GA 30033-3507 | 2012-02-03 |
| 1437750825 | Kate Lynn Kowalyshen | Occupational Therapist | 1270 Mcconnell Dr Ste B, Decatur, GA 30033-3507 | 2020-11-03 |
| 1609499037 | Andrea Florence Pollock | Speech-Language Pathologist | 1270 Mcconnell Dr Ste B, Decatur, GA 30033-3507 | 2020-05-20 |
| 1306479480 | Mallery Catherine Aiken | Physical Therapist | 1270 Mcconnell Dr Ste B, Decatur, GA 30033-3507 | 2020-02-18 |
| 1255963344 | Diana Shabat | Occupational Therapist | 1270 Mcconnell Dr Ste B, Decatur, GA 30033-3507 | 2020-02-07 |
| 1427606581 | Megan Winborn | Speech-Language Pathologist | 1270 Mcconnell Dr Ste B, Decatur, GA 30033-3507 | 2019-08-30 |
| 1598222747 | Taylor Rae Lindsay | Occupational Therapist | 1270 Mcconnell Dr Ste B, Decatur, GA 30033-3507 | 2019-02-25 |
| 1013412519 | Taylor M Rapaport | Occupational Therapist | 1270 Mcconnell Dr Ste B, Decatur, GA 30033-3507 | 2018-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922613785 | Healing Minds, Helping Hearts, LLC | Social Worker | 2532 N Decatur Rd, Apt 1304, Decatur, GA 30033 | 2020-09-09 |
| 1700412517 | Delana Finney | Orthotist | Vamc - Atlanta, 1670 Clairmont Rd, Decatur, GA 30033 | 2020-03-13 |
| 1194389353 | Katherine Serafen | Physician Assistant | 2701 N Decatur Road, Ground Floor Suite 520, Decatur, GA 30033 | 2019-04-23 |
| 1194290973 | Suzanne Johnson | Psychologist | Atlanta Va Health Care System, 1670 Clairmont Rd, Decatur, GA 30033 | 2018-10-09 |
| 1245705334 | Mcleod Counseling Services, LLC | Clinic/Center | 2801 N. Decatur Rd, Suite 185, Decatur, GA 30033 | 2018-10-04 |
| 1225514797 | Erkin Mirkhatovich Turganov | Pharmacist | 2951 Cedar Brook Dr, Decatur, GA 30033 | 2018-07-17 |
| 1356834972 | Sharlencia Lord | Nurse Practitioner | 2738 N Decatur Rd # 292-3173, Decatur, GA 30033 | 2018-06-08 |
| 1194213140 | Zacarias Yanis Jr. | Clinical Neuropsychologist | 1276 Mcconnell Drive Ste C., Decatur, GA 30033 | 2018-04-25 |
| 1780181370 | Ryan Patton | Orthopaedic Surgery | 2723 Hollywood Dr, Decatur, GA 30033 | 2018-04-10 |
| 1437669751 | Sholanda D Hooper | Nurse Practitioner | 1601 Clairmont Rd, Decatur, GA 30033 | 2017-10-02 |
| Find all providers in zip 30033 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396381554 | Justin Nelson | Occupational Therapist | 1415 W Mound Rd, Decatur, IL 62526-1263 | 2019-11-22 |
| 1689132342 | Arvin Quicho | Occupational Therapist | 3911 E Camelot Cir Apt 102, Decatur, IL 62526-6917 | 2019-03-12 |
| 1700381159 | Aegis Group Practice LLC | Occupational Therapist | 218 E Trinity Pl Ste A, Decatur, GA 30030-3410 | 2018-03-28 |
| 1356841332 | Rebecca Marie Davis | Occupational Therapist | 251 Johnston St Se Ste 200, Decatur, AL 35601-2515 | 2018-02-16 |
| 1366961765 | Maria O'farrell | Occupational Therapist | 495 Winn Way Ste 210, Decatur, GA 30030-1710 | 2017-09-18 |
| 1164962437 | Kristen Julian | Occupational Therapist | 341 Winn Way, Decatur, GA 30030-2120 | 2017-03-06 |
| 1396292025 | Africa Mincey | Occupational Therapist | 711 Twin Oaks Dr, Apartment 3, Decatur, GA 30030-4001 | 2016-09-11 |
| 1184096000 | Sarah Ingrid Stromsdorfer | Occupational Therapist | 460 Medlock Rd, Decatur, GA 30030-1508 | 2015-10-30 |
| 1730556655 | Johnaca Templeton | Occupational Therapist | 3088 Centerpoint Rd, Decatur, TN 37322-4631 | 2015-08-26 |
| 1528441185 | Jonathan Bullen | Occupational Therapist | 425 Winn Way, Decatur, GA 30030-1732 | 2015-07-01 |
| Find all providers in DECATUR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.